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Integument
Skin from various areas of the body
varies in thickness, in presence or absence of hairs or apocrine sweat glands,
and in relative concentration of eccrine sweat glands. Skin consists of two
main parts: l) the epidermis, a stratified squamous epithelium; and 2) the dermis,
the connective tissue layer beneath the epidermis.
a-41, (782) axilla and foot. This slide has both thick
and thin skin.
In the thick skin (plantar surface of the foot), note the irregular
junction of epidermis with underlying dermis. The deepest
portions of the epidermis are called epidermal ridges
or rete ridges (see Micrograph #1 right). The basal layer of
epidermis is the columnar stratum basale or stratum
germinativum, since this is the site of most mitotic activity.
The cells above this layer are polyhedral, and because of their many
desmosomes appear spiny, hence the layer is referred to as the stratum
spinosum. The layer of cells which contain granules is the
stratum granulosum. Above that layer are the multiple
layers of dead cells that make up the stratum corneum.
See EM DEMO 1
.
Ultrastructural aspects of differentiation in the skin can be seen in EM DEMO 2
.
As the keratinocytes move upward and differentiate, keratin filaments (a type
of intermediate filament) aggregate to form larger groups of filaments (tonofilaments)
and even larger tonofibrils which are visible by light microscopy in
the spinosum layer. During differentiation, in the stratum granulosum, aggregations
of keratin filaments become embedded in matrix proteins derived originally from
keratohyaline granules. In the cells of the stratum corneum, this keratin
protein complex occupies the entire dead cell.
The dermis has a number of vascular dermal papillae projecting
into the folded basal surface of the epidermis in the thick skin (see Micrograph
#1 above). Sometimes due to plane of section a dermal papilla may appear
as an isolated island of CT surrounded by epidermis. In addition to blood vessels,
these folds on occasion contain sensory structures, Meissner's corpuscles. (Do
not look for them in this slide. You will be asked to find one in a later slide.
The deepest connective tissue of the dermis is coarser; the eccrine sweat glands
continue into this layer and the subcutaneous (fatty) layer, but are better
preserved on a later slide.
The dermis is divided into a papillary layer and a reticular layer.
The papillary layer consists of the dermal papillae and immediately subjacent
relatively loose connective tissue with blood vessels and relatively small collagen
and elastic fibers (the collagen is more obvious in this stain). Note the blood
vessels in some dermal papillae.
In thick skin, Meissner's corpuscles are present in other dermal papillae,
but do not look for them in this slide. You will be asked to find one in a later
slide. Eccrine sweat glands continue into this layer and the subcutaneous (fatty)
layer, but are better preserved on a later slide.
The thin skin (axillary) on slide a-41 is less ridged.
This section has a few hair follicles with associated sebaceous glands, as well
as eccrine sweat glands. All of these epidermal appendages will be better seen
in later slides. Identify the stratum granulosum in this thin skin section.
a-44 (slide# 2315). Fingertip.
This preparation has less
cell shrinkage than any of the other slides and is best suited for study
of cellular detail. At high magnification you can see that the cytokeratin
filaments are aggregated into tonofibrils that crisscross the cells
in the stratum germinativum and spinosum and extend into cytoplasmic
extensions where they anchor in the desmosomes. The eccrine sweat glands
in this skin section are well developed, and their ducts (dark staining
stratified cuboidal) can be distinguished from the lighter staining secretory
portions.
Eccrine sweat glands are distributed over most of the body surface.
They are simple coiled tubular glands; they consist of a highly coiled secretory
portion deep in the dermis, and a relatively straight duct
that conducts the secretions toward the surface and resorbs Na+ to render
sweat hypotonic.
The ducts enter the epidermis at the bases of the epidermal
ridges. Within the epidermis the secretion is carried in corkscrew-shaped
intercellular channels which open directly on the surface of the skin. In
this case the ducts open in the center of ridges (cristae cutis) that form
the fingerprint (dermatoglyph). Examine an eccrine sweat gland.
The secretory portion has both dark
and light cells, with the dark cells having a few granules in the apices,
and intercellular canaliculi can be seen between some of the light cells.
Spindle shaped myoepithelial cells are present within the basement membrane
(seen as elongated nuclei and/or pink cytoplasm).
Pacinian corpuscles, with
their concentric layers of supportive cells around a central nerve fiber, can
usually be seen on this slide in the deeper dermis (see Micrograph #2
right).
Meissner's corpuscles can be seen in some dermal papillae (see
Micrograph #3 below. If you have difficulty in finding a Meissner's corpuscle,
look at the Demonstration slide of this same section). Meissner's corpuscles
are encapsulated tactile corpuscles and consist of flattened supportive cells
arranged as horizontal lamellae surrounded by connective tissue capsule. Nerve
fibers branch between the stacked lamellae. It is the horizontal lamellae that
you will be able to find on your slide.
Skin color tones are mainly the result of varying amounts of the pigment melanin.
Melanin is a product of specialized highly branched cells called melanocytes
which are found in the epidermis. Melanin is also found in keratinocytes but
the pigment is not formed in these cells; it is transferred to them from the
melanocytes. In Caucasian skin (e.g. this slide), a few pigment granules can
be seen in the cytoplasm of cells in the stratum basale, although it is difficult
to tell which cells are melanocytes and which are keratinocytes with melanin
accumulations. Merkel cell are also present in the stratum basale but cannot
be distinguished from other cells without granules on this slide.
A melanocyte is not connected by desmosomes to other cells and therefore, after
shrinkage, appears as a "clear" cell (i.e. surrounded by halo) in these sections.
Some lab texts imply that all "clear" or lightly stained cells (with H&E
stain) in the epidermis of lightly pigmented skin are melanocytes. This is misleading
because Langerhans and Merkel cells are lightly stained by H&E in any epidermis
and the Langerhans cells, like the melanocytes, tend to shrink away from the
keratinocytes since they are not joined to them by desmosomes.
Melanosomes of keratinocytes are more numerous in races with highly pigmented skin (e.g. see Demonstration Slide H7480). In such skin, melanosomes can be found not only in the stratum basale but in the other epidermal layers as well.
See melanocyte in EM DEMO 22 FROM Lab #1.
In this cell type, melanosomes are present but there are no large bundles of filaments.
See EM DEMO 3
of a Langerhans cell. This cell is important in the immune response since it is an antigen-presenting cell. Unusually shaped Birbeck granules (often tennis racket shaped) help to identify this cell type.
a-39 (93W7034) Axillary skin. Large apocrine
sweat glands are found in certain regions of the body.
They differ from
the eccrine type in that the apocrine secretory portions are larger and
the epithelium is usually a single type of cell. The term apocrine is probably
inappropriate. In the past it was thought that the apical portion of the
cell was actually pinched off, but this was probably due to fixation artifact.
Myoepithelial cells are present within the basal laminae of
eccrine and apocrine secretory glands.
The nuclei of the myoepithelial cells
can be distinguished most easily.
Ducts of both apocrine and eccrine sweat glands are very similar in
appearance (with the former sometimes having a wider lumen).
Apocrine and
eccrine ducts consist of a mildly coiled tube composed of a stratified,
low cuboidal epithelium (a double layer of cells, with those on the basal
lamina relatively flat).
The ducts also tend to stain more darkly, and lack
myoepithelial cells. We do not ask you to establish whether the duct is
apocrine or eccrine in origin. Since apocrine ducts are usually shorter
than eccrine, most of the ducts you see will be eccrine.
a-45 (H10.51) External ear and a-40
(H7455) Scalp show haired skin. Slide a-45
is a somewhat thick section in which the sebaceous glands
are well preserved.
Note that the central cells are highly vacuolated (extracted
lipid droplets) and some of the peripheral cells are undifferentiated. Find
cross-cut and longitudinal sections of hair follicles on one
of the two slides, preferably on a-40. In a longitudinal section you can
see that the lower end of the follicle expands into a bulb into which is
extended a connective tissue papilla containing blood vessels that ourish
the follicle. Note that the sebaceous glands enter the pilosebaceous
canal (i.e. space between hair shaft and follicle). Superficial to
this entrance level the hair is free due to degeneration of the inner hair
sheath; beneath this level the cuticle of the hair shaft interdigitates
with that of the inner sheath. You are not required to learn the layers
of the hair follicle.
Demonstration: Slide# H.7455. The arrector
pili muscle (pointer) is a bundle of smooth muscle arising
from the papillary layer of the dermis and attached to the connective tissue
sheath of a hair follicle.
When this muscle contracts, the hair is erected
and the skin is depressed over the site of muscle attachment to the dermis
(i.e. "goose-bump").
a-42 (H6270) shows elastic fibers of skin.
The elastic fibers are stained black in this special preparation. The fibers
in the papillary layer (outer surface of dermis in contact
with epidermis) tend to be of smaller size than those deeper in the dermis
reticular layer. There is no distinct boundary between these
two layers of the dermis. If large blood vessels are present on your slide,
you may also see elastic tissue in the walls of some of the vessels. You
should be able to distinguish the reticular layer from the papillary layer
on other skin slides you have studied.
Identification Practice
At this point in the course, you should now be able to understand much of what
you see in any slide. Reexamine a-44 (2315). You should
be able to find all of the described structures of the skin and, but also note
nerves, vessels of various sizes, different types of connective tissue and muscle
fibers. Try your hand as an histologist by identifying everything that you see
on this slide.
Other Slides to Study
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